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General NPI Number Information
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NPI Number | 1417773102
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Entity Type | Organization
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Legal Business Name | OPERATION EMPOWER
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Dates
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Enumeration Date | 11/26/2024
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Last Update Date | 08/25/2025
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Provider Practice Location Address
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Address Line | 2216 WHITE ST
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City | DUBUQUE
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State | IA
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Zip | 52001-3568
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Country | US
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Telephone | 563-213-5552
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Fax |
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Provider Business Mailing Address
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Address Line | 2216 WHITE ST
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City | DUBUQUE
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State | IA
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Zip | 52001-3568
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Country | US
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Telephone | 563-213-5552
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MICHELLE A MIHALAKIS
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Credential |
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Telephone | 563-599-2980
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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